16 PBRN Program-web

2016 

PBRN 

PRACTICE-BASED 

RESEARCH NETWORK 

CONFERENCE 

July 11-12, 2016 | Hyatt Bethesda 

Bethesda, Maryland 

OFFICIAL PROGRAM

Welcome 

Dear Colleagues, 

Greetings! On behalf of the North American Primary Care Research 

Group, welcome to the Practice-based Research Network 

Conference. Thank you to the Agency for Healthcare Research 

and Quality that has supported this conference with a generous 

conference grant. 

We are pleased to see PBRN researchers coming together to 

share strategies, methods, and results. The Planning Committee 

has produced an excellent agenda to include PBRN innovations 

and research projects on diverse topics of interest to community 

clinicians, practice facilitators/study coordinators, and network 

leadership. 

This year’s plenaries focus on “Dissemination and Implementation: 

Ensuring PBRN (and Patient Centered Outcomes) Research 

Evidence is Understood and Used”. You are almost guaranteed to 

hear something new while you are here. Conference presentations 

include the full range of issues related to practice-based research, 

including sessions on these and other “hot topic” areas: 

• PBRN Infrastructure/Operations 

• Stakeholder Engagement 

• Proposal Development/Study Design/Analytic Methods 

• Study Recruitment and Implementation 

• Dissemination of Results or Intervention at Study Completion 

• Funding/Research Priorities 

The conference is an opportunity to network with and learn from over 

200 PBRNers from Canada and the United States. We hope you find 

this conference instructive, inspiring, and enjoyable. Please help us 

make it even better next year by sharing with us your evaluations and 

ideas. 

Welcome to Bethesda! 

Conference Planning Committee 

Rowena Dolor, MD, MHS 

Director, Duke Primary Care Research Consortium 

Durham, NC 

Lyle (LJ) Fagnan, MD 

Director, ORPRN 

Portland, OR 

Milton “Mickey” Eder, PhD 

Assistant Professor, University of Minnesota 

Minneapolis, MN 

Michelle Greiver MD, MSc, CCFP, FCFP 

North York Family Health Team 

Toronto, Ontario 

David Hahn, MD 

Director, Wisconsin Research & Education Network 

Madison, WI 

Jeffrey A. Linder, MD, MPH, FACP 

Director, Brigham and Women’s Primary Care 

Practice-Based Research Network 

Boston, MA 

Marie-Thérèse Lussier MD, BSc, MSc, FCMFC 

Associate Professor, University of Montreal 

Laval, Quebec 

Anne Victoria Neale, PhD, MPH 

Professor, Wayne State University School of 

Medicine 

Detroit, MI 

Donald E. Nease, Jr., MD 

Associate Director, Practice Based Research 

Network Collaborative, University of Colorado- 

Denver 

Aurora, CO 

Rebecca A. Roper, MS, MPH 

Director, Practice-Based Research Network Initiative 

Agency Healthcare Research Quality (AHRQ) 

Bethesda, MD 

Hazel Tapp, PhD 

Director of Research, Carolinas Healthcare System 

Charlotte, NC 

Denise Campbell-Scherer, MD, PhD, CCFP, FCFP 

Associate Professor, Department of Family 

Medicine, University of Alberta 

Edmonton, AB 


Conference Co-Chair 


Conference Co-Chair 

Richard Wasserman, MD 

Professor of Pediatrics, University of Vermont 

Burlington, VT 

John (Jack) Westfall, MD, MPH 

Senior Scholar, Eugene S Farley Jr. Health Policy 

Center, University of Colorado-Denver 

Denver, CO 

David White, MD 

Associate Professor, University of Toronto 

Toronto, ON 

Consuelo Hopkins Wilkins, MD, MSCI 

Director, Meharry/Vanderbilt Alliance 

Nashville, TN

Schedule at a Glance 

Monday, July 11 

6:30 am–6:00 pm Registration 

Tuesday, July 12 

7:00 am–3:00 pm Registration 

7:30–8:15 am Continental Breakfast & 

Special Interest Group Networking 

7:30–8:15 am Continental Breakfast & 

Special Interest Group Networking 

8:15–8:45 am Welcome Remarks 



Rebecca Roper, MS, MPH 

8:15–9:15 am Oral Presentations 

9:15–9:30 am Transitional Break 

8:45-9:45 am Plenary I 

Getting to ‘Better’ in Ontario’s 

Primary Care System 

Joshua Tepper, MD, MPH, MBA 


10:00–11:00 am Workshops/Panels/Forums 


11:15–12:15 pm Oral Presentations 

12:15–12:45 pm Networking Lunch 

12:45–1:45 pm Plenary II 

Partnering with Patients, Families 

and Communities: Learning from 

Lived Experiences to Improve 

Primary Healthcare 

Antoine Boivin, MD, MSc, PhD 

Vincent Dumez, MSc 

9:30–10:30 am Poster Session II & 

Refreshment Break 


10:45 am–12:15 pm Workshops/Panels/Forums 

12:15–1:00 pm Networking Luncheon 

1:00–2:00 pm Plenary III 

AHRQ’s EvidenceNOW: Implementation 

at the Intersection of Quality Improvement 

and Research 

David Meyers, MD 

2:00-2:30 pm Special Presentation: 

Daring & Dangerous Ideas 

2:30–3:00 pm Awards & Closing Announcements 

3:00 pm Adjournment 

1:45–2:00 pm Transitional Break 

2:00–3:00 pm Oral Presentations 


3:15–4:45 pm Workshops/Panels/Forums 


5:00–6:00 pm Poster Session I & 

Evening Reception 

6:00 pm Dine Around Groups 

2


JULY 11, 2016 

Registration u 

6:30 am-6:00 pm 

Workshops/Panels/Forums u 

10:00-11:00 am 

Continental Breakfast and Special Interest 

Group Networking u 7:30-8:15 am 

Regency Ballroom 

Special Interest Group networking provides free-form 

discussions on various topics in a casual format. Feel free to 

join any topic or start a table of your own! 

Welcome Remarks u 


8:15-8:45 am 

Rowena Dolor, MD, MHS, Conference Co-Chair 

Lyle (LJ) Fagnan, MD, Conference Co-Chair 

Rebecca Roper, MS, MPH, Director, Practice-Based Research 

Network Initiative, Agency for Healthcare Research & Quality 

Plenary I u 8:45-9:45 am 


Getting to ‘Better’ in Ontario’s Primary Care System 

Ontario is a very large geographic mass (almost twice the size 

of France) boasting both highly urban and rural remote 

settings. Providing primary care to the roughly 13.5M citizens 

of the province includes a workforce of more than 9,000 family 

doctors, 1,000 nurse practitioners and thousands of other 

healthcare providers working in highly varied practice models. 

Health Quality Ontario in partnership with others has been 

working to support quality improvement in Ontario’s primary 

care system. 

The presentation will focus on six key initiatives, quality 

improvement plans, patient engagement, provider level 

reporting, public reporting, skill development and support of 

clinical leadership. 

Learning Objectives: 

• To understand Ontario Canada’s Framework for quality 

and its application to primary care 

• To look at the role of large scale data and reporting 

efforts in primary care 

• To learn about the Quality Improvement Plans 

and capacity building in quality improvement to help 

improve care and modify unwanted variation. 

Joshua Tepper, MD, MPH, MBA 

President and Chief Executive Officer 

Health Quality Ontario 

PROPOSAL DEVELOPMENT/STUDY DESIGN/ 

ANALYTIC METHODS 

Room: Ambassador/Diplomat 

WPF10: Making Composite Measures of Quality Useful for 

Front-line Primary Care Providers 

Join your fellow front line primary care workers, patients and 

researchers to consider questions like: 

• Who could and should decide how the composite 

indicator is designed in terms of scope of coverage, 

data sources, number and relative importance of 

indicators, etc? 

• What specifically would make composite measures 

easier for front line providers to use in their efforts to 

improve primary care? 

• Do the advantages of composite measures really 

outweigh the challenges? 

Carol Mulder, DVM, MSc, CUTL, DBA (cand); 

Frank Sullivan, PhD, MRCGP, FRCGP, MRCP, FRCP, MB; 

Anna Greenberg, BA, MPP 

STAKEHOLDER ENGAGEMENT 

Room: Cabinet/Judiciary 

WPF12: Collaboration Between Primary Care and Public 

Health: Current State, Future Potential 

This session will share research findings about how primary 

care and public health collaborate, elicit the attendees’ 

perspectives about such collaboration now and in the future, 

and discuss an emerging model that can support integration of 

primary care and public health at a local level. 

Laura-Mae Baldwin, MD, MPH; David L. Hahn, MD, MS; 

Donald E. Nease, Jr., MD 

PBRN INFRASTRUCTURE/NETWORK OPERATIONS 

Room: Old Georgetown 

WPF13: Models and Frameworks: Grounding 

Implementation and Dissemination Research in 

Theoretical Approaches 

There is an increased interest in using theoretical approaches 

in implementation and dissemination research to guide data 

collection and to better understand why and how 

implementation outcomes came about. This interactive 

workshop will shine light on models, frameworks, and theories 

and their different aims and uses. We will discuss examples 

and share experiences from our work. Together with 

participants we will reflect on the applicability and utility of 

different frameworks. 

3 

Transitional Break u 

9:45-10:00 am 

Denise L Campbell-Scherer, MD, PhD; Thea Luig, PhD


11:00-11:15 am 

Oral Presentations u 

11:15 am-12:15 pm 

CHRONIC CARE MANAGEMENT 


OP1: Baseline Data for the TRANSLATE CKD Study 

Chester H. Fox, MD; Wilson Pace, MD; Miriam Dickinson, PhD 

OP2: Genetic Variation Associated with Blood Pressure 

Change Among a Cohort of African American Adults in the 

Heart Healthy Lenoir Trial 

Jacqueline R. Halladay, MD, MPH; Jonathan C. Schisler, MS, 

PhD; Kaitlin Lenhart 

OP3: The Community Research Outreach Program: 

Integrating Research Engagement into Operations 

Perry Foley, MPH, MSW; Nathaniel T. Warren, MPH; 

Jennifer DeVoe, MD, DPhil 

OP4: The Effect of Quality Improvement Orientation and 

Organizational Change on Cardiovascular Care in Oklahoma 

Primary Care Practices: A First Look 

Ann F Chou, PhD, MPH; Juell Homco, MS; Julie Stoner, PhD 


Room: Congressional 

OP5: Clinical Trials Redesigned: A Novel Approach to PBRN 

Integration 

Lindsay Shade, MHS, PA-C; Lindsay Lowe, BS; Shane Gavin, BS 

OP6: Development of a PBRN Action Group for Canada 

Michelle Greiver, MD, MSc, CCFP, FCFP; 

Frank Sullivan, MD, PhD; Deirdre Snelgrove 

OP7: Impact on Practice-based Research Networks of 

Partnerships with Clinical and Translational Science Awards 

- Results from the CERA PBRN Directors Survey 

Allison Cole, MD, MPH; Treah Haggerty, MD; 

Arch G. Mainous III, PhD 

OP8: Knowledge to Action or Action to Knowledge? - The 

Application of the KTA Framework to Knowledge and 

Research Use in Primary Care 

Tina Wulff 

PRACTICE FACILITATION/QUALITY IMPROVEMENT 


OP9: Developing Practice Facilitation Infrastructure for a 

Large Health Plan in California to Support Quality and 

Evidence Translation 

Lyndee Knox, PhD; Ellen Rudy, PhD 

OP10: Impact of a Ground-Up Voluntary Performance 

Measurement Initiative on the Use of Data for QI in Primary 

Care 


Rick Glazier, MD, MPH 

OP11: Implementing a Remotely Facilitated Project - 

Challenges and Opportunities 

Kris Neuhaus, MD, MPH; Victoria Hall, RN, MPH; 

Emily Bullard, MPH 

OP12: Practice-based Research Networks Add Value to 

Evidence-Based Quality Improvement 

Karen M. Goldstein, MD, MSPH; Dawne Vogt, PhD; 

Alison Hamilton, PhD 

TRAINING 


OP13: A Training and Support Curriculum for Engaging 

Patients as Partners Across Ambulatory Primary Care 

Practices 

Aimee English, MD; Maret Felzien, MA; Don Nease, MD 

OP14: Implementing Training in a Practice Based Research 

Network: An Expert Panel “Makes the Medicine (Training) Go 

Down” 

Ellen F. Yee, MD, MPH; Susan M. Frayne, MD, MPH; 

Diane V. Carney, MA 

OP15: Teaching Motivational Interviewing Skills to Primary 

Care Physicians & Staff: Lessons Learned 

Walter L. Calmbach, MD, MPH; Mary Marden Velasquez, PhD 

OP16: The Certificate Program in Practice-based Research 

Methods: A Collaboration of PBRN Centers to Develop a New 

Generation of Investigators 

James J. Werner, PhD; LJ Fagnan, MD 

4



Networking Luncheon u 


12:15-12:45 pm 

Plenary II u 12:45-1:45 pm 


Partnering with Patients, Families and Communities: 

Learning from Lived Experiences to Improve Primary 

Healthcare 

Patients, families, and community members are increasingly 

recognized as primary caregivers, providing the majority of 

direct care for chronic conditions and minor acute conditions. 

Despite considerable evidence of the benefits of patient and 

professional partnerships, building effective collaborations 

between primary healthcare professionals, patients, families, 

and community members remains a challenge in practice. This 

presentation aims at illustrating real-world examples of patient 

and professional partnerships, and discuss key ingredients for 

successful implementation at the clinical, organizational and 

policy levels. 


• Understand the challenges of patient partnership in 

primary healthcare 

• Understand the different levels of engagement in 

primary healthcare 

• Discuss implementation strategies in primary healthcare 

Antoine Boivin, MD, MSc, PhD 

Family Physician & Health Services 

Researcher, Department of Family Medicine, 

Research Center Hospital of the University 

of Montreal (CHUM Research Centre) 

Scientific Director, Partnership Lab 

Vincent Dumez, MSc 

Co-Director, Office of Collaboration and 

Patient Partnership, Faculty of Medicine, 

University of Montreal 

Transitional Break u 1:45-2:00 pm 


DISSEMINATION/IMPLEMENTATION 


2:00-3:00 pm 

OP17: Effects of a Multi-Faceted Intervention to Improve 

Care Transitions Within a Pioneer Accountable Care 

Organization 

Jeffrey L. Schnipper, MD, MPH, FHM 

OP18: Family Physician and Registered Dietitian Attitudes 

on Use of Social Media for Guideline Dissemination 

Rosa Hand, MS, RDN, LD, FAND; Deric Kenne, PhD; 

Taylor Wolfram, MS, RDN, LD 

OP19: Ontario Data Support Starfield’s Theory on Practice 

Quality and Cost 


Rick Glazier, MD, MPH; Frank Sullivan, PhD, MD 

OP20: Soliciting Clinician Input to Develop and Refine the 

“Decision to Implement” Tool 

Allison Cole, MD, MPH; Leah Tuzzio; 

Michael Parchman, MD, MPH 

PEDIATRICS/CHRONIC CARE 


OP21: Obesity and Adolescent Pregnancy: Building a 

De-identified Electronic Clinical Database to Examine the 

Biological and Social Determinants of Nutritional Status, 

Pregnancy and Birth Outcomes 

Jonathan N. Tobin, PhD; Caroline S. Jiang; 

Mireille McLean, MPH 

OP22: Patient Centered Approach to Identifying Provider 

and Patient Level Barriers to Care for Sickle Cell Disease: 

A Qualitative Study 

Sangeetha Lakshmanan, MSW, MPH, CHES; 

Brisa Hernandez, BUS; Shirley Miller, MA 

OP23: Relationship Between Mothers’ Social Determinants 

of Health and Their Children’s Use of Healthcare Services 

Gregory M. Eberhart MD; John M. Pascoe MD, MPH 

5 

OP24: Strategies for Complex Intervention Implementation 

in Primary Care: The Interactive Process Framework and 

the 5As Team Obesity Study 

Thea Luig, PhD; Arya M Sharma, MD/PhD, DSc. (hc), FRCPC; 

Denise L. Campbell-Scherer, MD, PhD, FCFP



Transitional/Break u 

3:00-3:15 pm 

OP25: Engaging Patients and Clinicians in the 

Development of Instruments for Primary Care Practice 

Utilizing Boot Camp Translation 

Matthew Simpson, MD, MPH; Linda Zittleman, MSPH; 

Donald Nease Jr., MD 

OP26: Incorporating Patient and Community Voices into 

Primary Healthcare Research: A PCORI Methods Study 

Zsolt Nagykaldi, PhD; Barbara Norton, DrPH; 

Lyndee Knox, PhD; Laurene Tumiel Berhalter, PhD 

OP27: Patient-Practice-Public Health Partnerships for 

Primary Care Practice Improvement in Cardiovascular 

Health: Results from Four Boot Camp Translations for 

EvidenceNOW Southwest 

Linda Zittleman, MSPH; John Westfall, MD, MPH; 


OP28: Sharing and Contextualizing the Experiences of Six 

Practice and Community Based Research Advisory Boards 

Supporting Research in an Academic Medical Center 

Jacqueline R. Halladay, MD, MPH; 

Katrina E. Donahue, MD, PhD; Betsy L. Sleath, PhD 

BEHAVIORAL HEALTH 


OP29: Breaking Boundaries: Multi-Agency Collaborative 

Care for Primary Care, Mental Health and Addiction in an 

Underserved Rural Population 

Nicole Gastala, MD; Barcey Levy, MD, PhD; 

Andrea Storjohann, RN 

OP30: Improving Pain Care through Implementation of the 

Stepped Care Model at a Multisite Community Health 

Center 

Daren Anderson, MD; Ianita Zlateva, MPH; Khushbu Khatri 

OP31: Promoting Integration of Behavioral Health 

Technology in Primary Care: Perspectives of Primary Care 

Clinicians and Staff 

Sarah Lord, PhD; Deborah Johnson, MHA; Ardis Olson, MD 

OP32: What is Useful in Usual Care? Provider and 

Consumer Perspectives on Mental Health Services 

Erin Kelly, PhD; John Brekke, PhD; Lisa Davis 

DINE AROUND GROUPS TONIGHT! 

Don’t miss out on a casual dining experience 

with fellow conference attendees who want to 

enjoy a nice meal and interesting conversation. 

Stop by the registration desk to sign up! 

Workshops/Panels/Forums u 

PROPOSAL DEVELOPMENT/STUDY DESIGN/ 

ANALYTIC METHODS 


3:15-4:45 pm 

WPF14: Survey Methods in Practice-based Research 

Networks: Tailoring Best Practices to the Survey and Your 

Network 

This workshop will identify best practices in survey methods for 

PBRNs, engage participants in discussing challenges to issues 

such as survey feasibility and generalizability, and provide 

training in building and administering surveys using online 

tools. 

Laura-Mae Baldwin, MD, MPH; Jacqueline Halladay, MD, 

MPH; Rowena Dolor, MD, MHS 



WPF16: PBRN to CBRN: Creating a Community of Solution 

for Healthcare Transformation in Jackson, Michigan 

PBRNs have proven value in carrying out translational 

research; the next step forward will be addressing the broader 

community context in which healthcare occurs. This Forum 

describes the evolution of a Community-Based Research 

Network (‘CBRN’) formed to address this community context. 

Presenters will describe steps taken by GRIN, its ‘parent’ CTSI, 

and the Jackson community to create a Community of Solution, 

and its current work in behavioral health integration and clinical 

transformation. 

Michael Klinkman, MD, MS; Leslie Paulson, MSW; Elizabeth 

Kaziunas, MS 



WPF17: Virtual Facilitation: Why, When, How? 

Participants in this hands-on session will be provided with 

assessment tools with which to develop a remotely-facilitated 

project. The session will finish with an interactive discussion 

and feedback from experienced virtual facilitators. 

Kris Neuhaus MD, MPH; Victoria Hall RN, MPH; 

Emily Bullard, MPH 

6



7 

Poster Session I & 

Evening Reception u 

Chesapeake Suite 

5:00-6:00 pm 

P10: A Practice-based Randomized Trial of Integrating 

Behavioral Health and Primary Care for Comorbid 

Behavioral and Medical Problems 

Constance van Eeghen, DrPH; Benjamin Littenberg, MD; 

Rodger Kessler, PhD, ABPP 

P11: Adapting the 5As Model to Engage Clinicians 

and Patients in Improving Blood Pressure Control 

Jennifer Carroll, MD, MPH; Kevin Fiscella, MD, MPH; 

Jonathan N. Tobin, PhD 

P12: Children’s Age, Family Conflict and Children’s 

HbA1c: Are Girls and Boys Different? 

Miryoung Lee, PhD; John M. Pascoe, MD, MPH; 

Paul Breyer, MD 

P13: Children’s Behavioral Health in Primary Care: 

Do Parents Always Share Their Concerns 

Gregory M. Eberhart MD; Richard Rapp, PhD; 

John M. Pascoe MD, MPH 

P14: Co-Researching Successful Chronic Pain 

Management Techniques using an Appreciative 

Inquiry-Boot Camp Translation (AI-BCT) Process 

Mary Wold, MPH; Jodi Holtrop, PhD, MCHES; 


P15: Design and Implementation of the Women’s 

Enhanced Recruitment Process (WERP) of the VA 

Women’s Health Practice-based Research Network 

(WH-PBRN) 

Alyssa Pomernacki, MPH; Diane Carney, MA; 

Susan M. Frayne, MD, MPH 

P16: Expanding the VA Women’s Health Practice Based 

Research Network: Increasing Capacity for Equitable 

Representation of Women in VA Research 

Diane V. Carney, MA; Susan M. Frayne, MD, MPH; 

Ruth Klap, PhD 

P17: Eastern Oregon Care Coordination Project: 

Developing and Piloting the Care Coordination 

Measurement Tool for Primary Care 

Maggie McLain McDonnell, MPH; 

Elizabeth Needham Waddell, PhD 

P18: Evaluation of a One-time In-person Training to 

Improve Knowledge and Self-reported Implementation of 

an Evidence-based Practice Guideline 

Rosa Hand, MS, RDN, LD, FAND; Jenica Abram, MPH, RDN 

P19: Evolution of a Practice-based Research Network 

(PBRN): Coordinator’s Reflections on Clinicians’ Informal 

Research Training through Engagement in Participatory 

Research 

Justin Gagnon, MA; Tamara Carver; Vera Granikov 

P21: Feasibility of Adolescent Eating Disorder and Obesity 

Prevention in a U.S. Military Primary Care Treatment 

Facility 

Natasha L. Burke, PhD; Mark Stephens, MD; 

Marian Tanofsky-Kraff, PhD 

P22: Health Literacy and Frequency of Home Blood 

Glucose Monitoring Among Patients with Non-Insulin 

Treated Type 2 Diabetes 

Laura Young, MD, PhD; C. Madeline Mitchell; 

Katrina Donahue, MD, MPH 

P23: Impact of Adopting PCMH on Teamwork, Patient 

Access and Safety 

Niharika Khanna, MD; Fadia Shaya, PhD; Priyanka Gaitonde 

P24: Large Scale Practice Transformation: The Cost 

of Practice Recruitment, the Healthy Hearts 

Northwest Experience 

Lyle J. Fagnan, MD; Caitlin Dickinson; Katrina Murphy 

P25: Meetings for Patient/Users, Clinicians and 

Researchers to Improve Primary Care Research 

Joyce Dogba, PhD; Isabelle Samson, MD; 

Matthew Menear, PhD 

P26: Metabolic Outcomes After Bariatric Surgery in a 

Community Health Center 

Ana B. Emiliano, MD, MS; Rabih Nemr, MD, FACS; 

Caroline S. Jiang, MS 

P27: Mitigating Dual Risk: An NP-PBRN Collaboration in a 

Diabetes Management and Tobacco Cessation State 

Initiative 

Andrea F. Rodgers Fischl, PhD, MPH; 

Betty Braxter, PhD, CNM; Jennifer Dickson-Keith, MPH 

P28: PBRN Studies: Experiences, Priorities, Successes, 

and Challenges Regarding the PBRN Research Focus 

Jeanette Waxmonsky, PhD; Jennifer K. Carroll, MD, MPH; 

Jodi Holtrop, PhD 

P29: Project Facilitation in Primary Care 

Rabiya Siddiqui, BSc; Saddaf Syed, BSc OCT PGCEhD; 

Ivanka Pribramska, PhD 

P30: Does Facilitated Implementation of Shared Decision 

Making Improve Health Outcomes for Asthma Patients? 

Preliminary Results from a Statewide RCT for an Asthma 

Dissemination Intervention. 

Thomas Ludden, PhD; Yhenneko J. Taylor, PhD; 

Hazel Tapp, PhD 

Dine Around Groups u 

6:00 pm 

Enjoy a mouthwatering meal at one of Bethesda’s great 

restaurants. Whether you’re traveling alone, a first-time 

attendee, or just looking for a great meal, join a dine around! 

The reservations are filled on a seat-by-seat basis to offer 

automatic dinner plans, networking, and great food all in one. 

Attendees are responsible for their own meal costs.


Registration u 

7:00 am-3:00 pm 

COMMUNITY ENGAGED RESEARCH 


Continental Breakfast and Special Interest 

Group Networking u 7:30-8:15 am 


The SIGs are a time-tested favorite of NAPCRG meeting 

attendees. The format of Special Interest Group Networking 

provides free-form discussions on various topics in a casual 

format. Feel free to join any topic or start a table of your own! 

OP37: An Innovative Community-Based Model for 

Improving Preventive Care in Rural Counties 

Zsolt Nagykaldi, PhD; Dewey Scheid, MD; Daniel Zhao, PhD 

OP38: Creating a Learning Community to Reduce Cancer 

Screening Disparities in a Healthcare Network: One 

PBRNs’ Experience 

Brian Stello, MD; Melanie B. Johnson, MPA; 

Ronald Myers, PhD 

OP39: Engaging Scientists, Clinicians, Community Health 

Workers and Patients to Conduct a Comparative 

Effectiveness Study of Home-Based Interventions to 

Reduce CA-MRSA Recurrence and Household 

Transmission 

Brianna D’Orazio; Rhonda G. Kost, MD; 

Chamanara Khalida, MD, MPH 

OP40: Neighborhood Safety and Obesity in Middle-aged 

and Older Community-dwelling Adults 

Samuel N. Forjuoh, MD, MPH, DrPH; 

Marcia G. Ory, PhD, MPH; Jaewoong Won 


CHRONIC CARE MANAGEMENT 


8:15-9:15 am 

OP33: Advance Care Planning in Primary Care: An 

Exploratory Pilot Study 

Jalila Jbilou, MD, PhD 

OP34: Race-Specific Patterns of Treatment Intensification 

among Hypertensive Patients using Home BP Monitoring: 

Results from the Heart Healthy Lenoir Study 

Doyle M. Cummings, PharmD; Alyssa Adams, MPH; 

Jacquie Halladay, MD, MPH 

OP35: The Fit4Duty Program: A Dissonance Based, 

Participant-Driven Approach to Weight Gain Prevention for 

Service Members 

Douglas Maurer, DO; Dawn Bates, MA; Tracy Sbrocco, PhD 

OP36: Understanding Patient Experiences of Care 

Coordination in Primary Care: Development and Testing 

of a Comprehensive Care Coordination Measure 

Susan K.R. Heil, PhD; San Keller, PhD; 

Janice Genevro, PhD 

SHARED DECISION MAKING 


OP41: Developing a Road Map for Optimum Patient- 

Partnered Chronic Condition Management 

Regina M. Vidaver, PhD; Amanda E. Hoffmann, MPH; 

David L. Hahn, MD, MS 

OP42: Patient’s and Provider’s Perception of Asthma Care 

from a Statewide RCT for an Asthma Shared Decision 

Making Dissemination Intervention 

Thomas Ludden, PhD; Madelyn Welch; Hazel Tapp, PhD 

OP43: Raising Awareness ... Starting the Conversation, 

Using Shared Decision Making to Treat Vulvovaginal 

Atrophy 

Rowena Dolor, MD; Paul Smith, MD; Kristine Schmit, MD 

OP44: Strategies for Dissemination of a State-wide PBRN 

Project: Dissemination of Asthma Shared Decision Making 

by the North Carolina Network Consortium (NCNC) 

Madelyn Welch, BA; Tom Ludden, PhD; Chandler Gates, BS 

8



TECHNOLOGY 


OP45: Can CVD Risk Score be Generated from Electronic 

Health Records? 

Jonathan N. Tobin, PhD; Subrina Farah, MS; 

Stephen Williams, MD 

OP46: Diabetic Retinopathy Detection in Rural Primary 

Care Addressing Community Access Needs Using 

Advanced Technology in the West Virginia PBRN 

Stacey Whanger, MPH; Adam Baus, MPH, PhD; 

Ronald Gross, MD 

OP47: Implementing Permanent Data Collection 

Infrastructure for PBRN Research in Practice Settings: A 

Case Example In Los Angeles 

Lyndee Knox, PhD 

OP48: Integrating Public Health Data and Clinical Data to 

Inform Primary Care Physicians 

Sebastian Tong, MD, MPH; Alex Krist, MD, MPH; 

Winston Liaw, MD, MPH 

P37: Patient Experiences of Care - An Ethnographic Study 

of Behavioral Health in Jackson, Michigan 

Elizabeth Kaziunas, MS; Mark S. Ackerman, PhD; 

Michael Klinkman, MD, MS 

P38: Patient-Centered Research Priorities in a Pediatric 

PBRN 

Sarah Brewer, MPA; Sean O’Leary, MD, MPH; 

Natalie Crump, MS 

P39: Personalized Prescribing in Primary Care 

Martin Dawes, MBBS, FRCGP, MD; Diana Dawes, MSc; 

Hagit Katzov-Eckert, PhD 

P40: Predictors of Care Management Needs in Primary 

Care: Results from a CaReNet Card Study 

Matthew Simpson, MD, MPH; Aimee English, MD; 

Jodi Summers Holtrop, PhD 

P41: Primary Care “Measures that Matter” to Front Line 

Clinicians 

Rebecca Etz, PhD; Marshall Brooks, PhD; 

Martha Gonzalez, BA 


9:15-9:30 am 

P42: Provider Recommendation for Massage Card Study 

Diane Mastnardo, BS, LMT; Jeanmarie Rose, MPA 

9 

Poster Session II/ 

Refreshment Break u 9:30-10:30 am 

Chesapeake Suite 

P31: Active Surveillance Adoption in a Diverse Populationbased 

Sample of Men with Low-risk Localized Prostate 

Cancer 

Jinping Xu, MD, MS; Elyse Reamer, BS; Cathryn Bock, PhD 

P32: Attending Physician/Resident Differences in Attitudes 

about Opioids and Chronic Pain 

Carissa van den Berk Clark, PhD, MSW; 

Matthew Witthaus, MD; Betsy Wan 

P33: Challenges to Engaging Providers in Research 

Teams: A Glance at Patient Volume 

Jacquelyn Favours, MPH, CHES; Alaina Boyer, PhD; 

Consuelo H. Wilkins MD, MSCI 

P34: Characterizing Barriers to CRC Screening with 

Colonoscopy in the Primary Care Safety Net 

Anne Gaglioti, MD; George Rust, MD 

P35: Development of the Cleveland Out-of-School 

Enrichment PBRN: An Innovative Adaptation of the 

PBRN Model 

AnneMarie Grassi, PhD; Earl Pike; James J. Werner, PhD 

P36: Evolution of a PBRN: ‘Formal’ Research Training for 

Primary Care Practitioners Through an Interactive Selfdirected 

Online Course 

Tamara Carver, PhD; Justin Gagnon; Florence Tremblay, MD 

P43: Stakeholder Engagement to Understand Relevance of 

Virginia’s Opioid Use Epidemic to Primary Care Practices 

Sebastian Tong, MD, MPH; Paulette Kashiri, MPH; 

Alex Krist, MD, MPH 

P44: The Formation of BRAIN (Behavioral Research and 

Innovation Network), a Community Psychiatry Practice 

Based Research Network (PBRN) 

Kathleen A. Clegg, MD; Andrew Hunt, MD, MHA; 

Christina Delos Reyes, MD 

P45: The Ohio Automated Rx Reporting System (OARRS) 

Card Study 

Andrew Hunt, MD, MHA; Kathleen Clegg, MD; 

Maureen Riley-Behringer, PhD, MSSA 

P46: The Quality of Life of Children Under Chiropractic 

Care in a Practice-based Research Network: The Use of 

the PROMIS-25 

Joel Alcantara, BSc, DC; Jeanne Ohm, DC; 

Junjoe Alcantara, DC 

P47: The Quebec Practice-based Research Network: A 

Portrait of Service Users and their Requests 

Lilianne Bordeleau, MA; Isabelle Samson, MD; 

Vanessa Serrano, MD 

P48: The Reach of Practice-based Research Networks: 

ORPRN’s “Four Pillars Model” 

Lyle J. Fagnan, MD; Anne King, MBA; Caitlin Dickinson

P49: Use of Appreciative Inquiry to Identify Themes in 

Success Stories of Practice Transformation 

Tristen Hall, MPH; Linda Zittleman, MSPH; 

Jack Westfall, MD, MPH 

P50: Using Consolidated-Clinical Document Architecture 

(C-CDA) for PBRN Quality Reporting 

Cara Litvin, MD, MS; Mark Daniels, PMP, FHIMSS; 

Vanessa Congdon, MSPH 

P51: Using the Consolidated Framework for 

Implementation Research to Assess PBRN Practice 

Pragmatic Trial Readiness 

Kim S. Kimminau, PhD; Jennifer Brull, MD; Robert Kraft, MD 

P52: Visit Complexity and Medical Errors in Family 

Medicine Clinics: An RRNeT Study 

Sandra K. Burge, PhD 



WPF18: PBRNs Cultivate New Learning Community for 

AHRQ Health Assessment and Self-Management Support 

Recertification Activities (MOC Part IV, PA-QI, NP-CE) 

This panel discussion will include presentations and discussion 

from PBRN leaders about developing and maintaining PBRN 

learning communities which provide integrated research and 

quality improvement activities that carry MOC/CE for their 

member clinicians. 

Developers: Rebecca Roper, AHRQ; Sari Siegel, PhD, 

WESTAT; Doug Fernald, MPH, SNOCAP 

Cultivators of Communities of Learning: 

Eric Peterson, EdM, AAPA; David Price, MD, ABMS 

Jonathon Tobin, PhD, CDN 


10:30-10:45 am 


Room: Old Geogetown 

Workshop/Panels/Forums u 10:45 am-12:15 pm 

TECHNOLOGY 


WPF11: Using Electronic Health Record Data and Health 

Information Technology to Support Research in PBRNs 

This session will offer real-world examples of how electronic 

health records (EHRs) and health information technology (HIT) 

can be leveraged to support large and small scale research in 

PBRNs, with a focus on sharing lessons learned and building 

capacity for and cooperation around EHR-based research. 

Laura-Mae Baldwin, MD, MPH; Alex Fiks, MD; 

Alex Krist, MD, MPH 



WPF15: Enacting Mixed Methods Research in Primary 

Care: the Critical Importance of Stakeholder Engagement 

WPF19: The Evolution of PBRNs: Creating a Framework to 

be Responsive and Relevant to Practices and Community 

Stakeholders 

During this session, participants will: 

• Discuss how an organizing framework could help 

communities understand your PBRN’s priorities, aid in 

practice recruitment, and uncover areas for project 

development. 

• Learn how ORPRN evolved from primarily focusing on 

research coordination to recruitment and technical 

assistance to meet medical home and quality 

standards, and created the “Four Pillars Model.” 

• Reflect and share your PBRN’s priorities and its 

organizational framework. 

Caitlin Dickinson, MPH; Maggie McLain McDonnell, MPH; 

Lyle J. Fagnan, MD 

Networking Luncheon u 


12:15 -1:00 pm 

In practice based research, the dynamic between context, 

intervention, implementation process, and sustainability is 

crucial for project design and evaluation. Practice-based 

research is also increasingly engaging stakeholders and 

negotiation of diverse perspectives and agendas. In this 

workshop we will explore participants’ experiences in their 

contexts in past or planned work to learn from each other about 

effective strategies that have been employed in stakeholder 

engagement. 

Milton Eder, PhD; Thea Luig, PhD; 

Denise L. Campbell-Scherer, MD, PHD, FCFP 

10


Plenary Presentation III u 


1:00-2:00 pm 

Special Presentation u 


2:00-2:30 pm 

AHRQ’s EvidenceNOW: Implementation at the 

Intersection of Quality Improvement and Research 

EvidenceNOW: Advancing Heart Health in Primary Care is 

one of the largest research investments ever from the Agency 

for Healthcare Research and Quality. This three-year initiative 

is studying how external quality improvement support can both 

increase the dissemination and implementation of PCOR 

evidence in small- and medium-sized primary care practices 

and build practice capacity for understanding and using PCOR 

evidence in the future. Equally importantly, this work will help 

over 1500 primary care practices across the U.S. use the latest 

evidence to improve the heart health of millions of Americans. 

The initiative aligns with DHHS’s Million Hearts, a national 

effort to prevent 1 million heart attacks and strokes by 2017. 

This presentation will provide an overview of the initiative and 

an update of its progress since its launch in 2015. It will focus 

on the opportunities and challenges of blending quality 

improvement and research in a federal initiative. 


• Participants will be able to describe the overarching 

goals of AHRQ’s EvidenceNOW initiative and identify 

specific outcome measures associated with each goal. 

• Participants will be able to identify and differentiate 

design elements of the EvidenceNOW initiative that 

relate to implementation of quality improvement 

strategies and research activities. 

• Participants will be able to identify at least three early 

lessons learned from the first year of EvidenceNOW 

and discuss their relevance to primary care practice 

based research and quality improvement. 

Daring & Dangerous Ideas 

The Daring and Dangerous Ideas session will offer presenters 

the opportunity to share their daring or dangerous PBRN 

research or primary care clinical idea. The session will be fast 

paced and interactive with the audience. Each presenter will 

have 10 minutes to present their idea followed by 5 minutes of 

Q&A giving the audience the opportunity to challenge the 

speakers. 

DI1: Smart Glass Technology Changes Paradigm of 

Healthcare Delivery 

R. Brent Wright, MD, MMM; Mo Mai, MD; Eric Fisher, MD 

DI2: We Should Measure and Reduce “Work After Work” 

(WAW) 

John W. Beasley, MD; Brian Arndt, MD; 

Wen-Jan Tuan, MS, MPH 

Awards/Announcements u 2:30-3:00 pm 


Adjournment u 3:00 pm 

David Meyers, MD 

Chief Medical Officer 

Agency for Healthcare Research and Quality 

11

Conference Information 

12

Conference Information 

Dine Around Groups 

For those of you who haven’t heard of the “Dine Around” 

dinner, it’s a casual dining experience with fellow conference 

attendees who want to enjoy a nice meal and interesting 

conversation. Sharing a meal with new friends is always a 

highlight of the conference! 

Dine Around options are offered on Monday night. Please stop 

by the conference registration desk to see the list of 

restaurants available for each Dine Around and to sign-up for a 

Dine Around group. Each reservation for a given restaurant will 

be available for up to eight individuals. Participants will meet in 

the lobby at 6:45 pm Monday night, reservations will be for 

6:00 pm. The group will go to the restaurant and enjoy an 

evening of fun and good food. The restaurants will be within 

easy walking distance. 

Dine Around attendees will be responsible to pay for their own 

meal, drinks, and associated tip. The Dine Arounds are offered 

to the conference attendees as yet another way to help you 

make the most of your conference and connect with your 

colleagues. 

Continuing Education Credits 

This activity has been submitted for review by the American 

Academy of Family Physicians. 

Complete CME information will be available online at 

www.napcrg.org/pbrn in July. For other credit, NAPCRG will 

assist individuals by providing information needed to the extent 

possible. 

Evaluations 

NAPCRG offers session evaluations online in order to minimize 

our impact on the environment and be as green as possible. 

You can complete your session evaluations right on your 

smartphone or laptop through the mobile application or on the 

NAPCRG website. To complete an evaluation on the mobile 

app see the next page; to complete an evaluation on the 

website visit www.napcrg.org and click on “Complete Session 

Evaluation” link. Enter the session code found next to each 

presentation title in the program book and complete the 

evaluation. 

A final evaluation of the overall conference will be distributed at 

the end of the conference for completion onsite, and a link will 

be sent to you immediately after the conference if you prefer to 

complete your evaluation online. Thank you for providing us 

your feedback to facilitate future PBRN conference planning. 

Co-Sponsors 

Funding for this conference was made possible [in part] by 

grant 1R13HS022371-03 from the Agency for Healthcare 

Research and Quality (AHRQ). The views expressed in written 

conference materials or publications and by speakers and 

moderators do not necessarily reflect the official policies of the 

Department of Health and Human Services; nor does mention 

of trade names, commercial practices, or organizations imply 

endorsement by the U.S. Government. 

Thank you to the following organizations for co-sponsoring this 

program with in-kind donations of marketing efforts. 

13 14

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14

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